Organization
D RAY GASKIN JR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RAY GASKIN JR. M.D. (OWNER)
(912) 352-9902
Entity
Organization
Contact information
Practice address
315 COMMERCIAL DR STE B3, SAVANNAH, GA 31406-3631
(912) 352-9902
(912) 352-9960
Mailing address
315 COMMERCIAL DR STE B3, SAVANNAH, GA 31406-3631
(912) 352-9902
(912) 352-9960
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC002856
GA
174400000X
Specialist
022469
GA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
028117
GA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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